Mona Shangold, M.D., Director of the Center for Women's Health and Sports Gynecology, Philadelphia
You can’t tell whether vaginal bleeding is from a delayed menstrual period, a miscarriage, a threatened miscarriage, or a normal pregnancy (during which bleeding sometimes occurs). A urine pregnancy test may be helpful, but only if it is positive. You should definitely see your gynecologist for an examination and testing, regardless whether a pregnancy would be good news or bad news for you. If your periods are irregular, you need an evaluation to detect a possible hormone imbalance and to prevent serious consequences. If you are pregnant, you need to discuss your options and be sure you are maximizing your chances for the most favorable outcome. In any event, you should schedule an appointment ASAP with your gynecologist.
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